Provider Demographics
NPI:1649456716
Name:CHARLES GIARRATANA MD
Entity type:Organization
Organization Name:CHARLES GIARRATANA MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:GIARRATANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-346-4444
Mailing Address - Street 1:8671 S QUEBEC
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130
Mailing Address - Country:US
Mailing Address - Phone:303-346-4444
Mailing Address - Fax:303-346-4411
Practice Address - Street 1:8671 S QUEBEC
Practice Address - Street 2:SUITE 220
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130
Practice Address - Country:US
Practice Address - Phone:303-346-4444
Practice Address - Fax:303-346-4411
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARLES GIARRATANA MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-18
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01295849Medicaid
CO04012696Medicaid
E21838Medicare UPIN